Doctor Name: | DR. DOUGLAS L. GARNER |
NPI Number: | 1174758940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0000056722 |
Business Practice Address: | 3913 Scotsman Way N Las Vegas, NV - 890327606 |
Business Phone Number: | 7023990448 |
Business Fax Number: | |
Mailing Address: | 3913 Scotsman Way, N LAS VEGAS |
State: | NV |
Postal Code: | 890327606 |
Phone Number: | 7023990448 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2009 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 0000056722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |